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Individual

MR. RALPH E. BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH., M.B.A.

Contact information

Practice address
1313 PENN AVE N, PHARMACY, MINNEAPOLIS, MN 55411-3047
(612) 302-4600
(612) 302-4663
Mailing address
1305 CORPORATE CENTER DR, EAGAN, MN 55121-1204
(612) 777-5176
(612) 777-5141

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116707-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116707-8
MN BOARD OF PHARMACY LIC.
MN
Enumeration date
12/12/2006
Last updated
11/26/2008
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